- Highmark Health (Dover, DE)
- …placement to appropriate level of care prior to hospitalization utilizing medical necessity criteria and third party guidelines. Obtains or facilitates acquisitions ... monitors, intervenes/resolves and reports clinical denials/appeals and retrospective payer audit denials. Collaboratively formulates plans of action for denial… more
- Centene Corporation (Phoenix, AZ)
- …risk management and sentinel events related to quality of care issues. + Audit medical records, review administrative claims and analyze data and interventions ... with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives… more
- Assured & Associates (Douglasville, GA)
- Job Requirements: Provides supervision and medical oversight to ensure that clients are being served effectively and safely and supervises all client care and ... accordance with acceptable professional standards and guidelines + Conduct audit on clients' record monthly (end of month) +...and clients + Conduct interview for potential LPN and RN with General Manager + Schedules, coordinates, and presents… more
- Fresenius Medical Center (Springfield, IL)
- …the PCT I HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with and as permissible per state ... and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit ...changes in patient status during treatment to the HT RN , and documents in the medical record.… more
- Fresenius Medical Center (Cartersville, GA)
- …PCT II HT are to be performed under the direct supervision of the Home Therapies registered nurse (HT RN ), in compliance with, and as permissible per state ... and track clinic/office supplies, as directed. + Participates in medical records, infection control, and other audit ...changes in patient status during treatment to the HT RN , and documents in the medical record.… more
- ChenMed (Maple Heights, OH)
- …progressive improvement plans and disciplinary action when needed. + Manages medical equipment and supply inventory. Ensures availability and proper preventative ... and other governing agencies. Enforces clinical and quality standards and internal audit requirements of ChenMed. + Completes all required training to dispense… more
- Amergis (Jamaica Plain, MA)
- Salary: $3801 / Week Amergis Healthcare Staffing is seeking a Wound Care nurse . The Wound Care Nurse , as a professional practitioner employed by Amergis ... nursing process and the delivery of patient care. The nurse demonstrates the ability to make clinical judgments in...wound rounds and follow up on wound consults. + Audit wound treatment and documentation; recommend improvements. + Educate… more
- UNC Health Care (Rocky Mount, NC)
- …Integrity/Regulatory Services, Document Management, Chart Correction, Forms Management and RAC/ Audit . Provides direction and leadership to assure support and ... Business, Hospital Administration, or related field. **Licensure/Certification Requirements:** * Registered as a Records Administrator (RRA) by the American Health… more
- WesleyLife (De Witt, IA)
- …and supports. + Partner with MDS Coordinators and Directors of Nursing to audit MDS records and care plans, ensure accuracy, identify areas for improvement and ... assurance, compliance, clinical and social modeling. Knowledgeable of nursing and medical practices and procedures. Equal Opportunity Employer This employer is… more
- WesleyLife (Bettendorf, IA)
- …and supports. + Partner with MDS Coordinators and Directors of Nursing to audit MDS records and care plans, ensure accuracy, identify areas for improvement and ... assurance, compliance, clinical and social modeling. Knowledgeable of nursing and medical practices and procedures. Equal Opportunity Employer This employer is… more